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Multimorbidity of non-communicable diseases in low-income and middle-income countries: a systematic review and meta-analysis.
Asogwa, Ogechukwu Augustina; Boateng, Daniel; Marzà-Florensa, Anna; Peters, Sanne; Levitt, Naomi; van Olmen, Josefien; Klipstein-Grobusch, Kerstin.
Afiliação
  • Asogwa OA; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, Utrecht, The Netherlands.
  • Boateng D; Princess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
  • Marzà-Florensa A; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, Utrecht, The Netherlands d.boateng-2@umcutrecht.nl.
  • Peters S; Department of Epidemiology & Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Levitt N; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, Utrecht, The Netherlands.
  • van Olmen J; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, Utrecht, The Netherlands.
  • Klipstein-Grobusch K; The George Institute for Global Health, Imperial College London, London, UK.
BMJ Open ; 12(1): e049133, 2022 01 21.
Article em En | MEDLINE | ID: mdl-35063955
INTRODUCTION: Multimorbidity is a major public health challenge, with a rising prevalence in low/middle-income countries (LMICs). This review aims to systematically synthesise evidence on the prevalence, patterns and factors associated with multimorbidity of non-communicable diseases (NCDs) among adults residing in LMICs. METHODS: We conducted a systematic review and meta-analysis of articles reporting prevalence, determinants, patterns of multimorbidity of NCDs among adults aged >18 years in LMICs. For the PROSPERO registered review, we searched PubMed, EMBASE and Cochrane libraries for articles published from 2009 till 30 May 2020. Studies were included if they reported original research on multimorbidity of NCDs among adults in LMICs. RESULTS: The systematic search yielded 3272 articles; 39 articles were included, with a total of 1 220 309 participants. Most studies used self-reported data from health surveys. There was a large variation in the prevalence of multimorbidity; 0.7%-81.3% with a pooled prevalence of 36.4% (95% CI 32.2% to 40.6%). Prevalence of multimorbidity increased with age, and random effect meta-analyses showed that female sex, OR (95% CI): 1.48, 1.33 to 1.64, being well-off, 1.35 (1.02 to 1.80), and urban residence, 1.10 (1.01 to 1.20), respectively were associated with higher odds of NCD multimorbidity. The most common multimorbidity patterns included cardiometabolic and cardiorespiratory conditions. CONCLUSION: Multimorbidity of NCDs is an important problem in LMICs with higher prevalence among the aged, women, people who are well-off and urban dwellers. There is the need for longitudinal data to access the true direction of multimorbidity and its determinants, establish causation and identify how trends and patterns change over time. PROSPERO REGISTRATION NUMBER: CRD42019133453.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças não Transmissíveis Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças não Transmissíveis Idioma: En Ano de publicação: 2022 Tipo de documento: Article